Immediate Implant Provisionalization
Soft Tissue Stability of Immediate Implant Placement With and Without Immediate Provisionalization: A Randomized Controlled Clinical Trial
1 other identifier
interventional
44
1 country
1
Brief Summary
This research is studying gum tissue stability of dental implants placed at same appointment as the tooth extraction, with or without a provisional (temporary) crown.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2026
Typical duration for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 23, 2026
CompletedFirst Posted
Study publicly available on registry
July 29, 2026
CompletedStudy Start
First participant enrolled
August 1, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
August 31, 2028
July 29, 2026
July 1, 2026
1.9 years
July 23, 2026
July 23, 2026
Conditions
Outcome Measures
Primary Outcomes (2)
Linear changes of gum tissue architecture
Digitally measured soft tissue changes in mm\^2 using intraoral and CBCT scans
1 month and 4 months after baseline surgery, 6 months and 12 months after crown delivery
Volumetric changes of gum tissue architecture
Digitally measured soft tissue changes in mm\^3 using intraoral and CBCT scans
1 month and 4 months after baseline surgery, 6 months and 12 months after crown delivery
Secondary Outcomes (3)
Changes in marginal bone
5 months after baseline surgery, 6 months and 12 months after crown delivery
Patient-reported satisfaction
14 days after baseline surgery
Microbial profile
Baseline, 4 months after baseline surgery, 6 months and 12 months after crown delivery
Study Arms (2)
Provisional crown
ACTIVE COMPARATORA provisional (temporary) crown will be placed on the dental implant after it is placed.
Healing cap
ACTIVE COMPARATORA healing cap will be placed on the dental implant after it is placed.
Interventions
A dental implant will be placed after tooth extraction.
Eligibility Criteria
You may qualify if:
- Age ≥ 18 years
- Physical status according to the American Society of Anesthesiology (ASA) I or II, which include patients who are systematically healthy or may suffer from mild to moderate, however well-controlled systemic diseases.
- Periodontally healthy or with treated periodontitis with good oral hygiene ((FMPS) and (FMBS) ≤15%, measured at four sites per tooth).
- Presence of one non-restorable maxillary anterior tooth (from #5 to #12 sites)
- More than 20 occluding teeth with stable occlusion.
- Nonsmokers or smokers \< 10 cig/day (self-reported).
You may not qualify if:
- Presence of uncontrolled or untreated periodontal disease.
- Presence of active periapical infection.
- Subjects taking medications known to modify bone metabolism or those that can interfere with the normal wound healing (such as bisphosphonates, corticosteroids, hormone replacement therapy, parathyroid hormone, denosumab, strontium ranelate, etc.), or those with uncontrolled systemic diseases or conditions that may similarly affect the patient's healing (osteoporosis, osteopenia, hyperparathyroidism, Paget's disease, uncontrolled diabetes (HBA1c \> 8)).
- Pregnant subjects or individuals attempting to get pregnant (self-reported)
- Subjects smoking 10 or more cigarettes a day, or those with a history of drug or alcohol abuse (self-reported)
- Subjects unable to maintain adequate oral hygiene
- Insufficient restorative space or bite collapse.
- Lack of primary implant stability assessed intrasurgically.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Michigan School of Dentistry
Ann Arbor, Michigan, 48109, United States
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hom-Lay Wang, DDS MSD PhD
Department of Periodontics and Oral Medicine, University of Michigan
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Collegiate Professor of Periodontics and Professor of Dentistry
Study Record Dates
First Submitted
July 23, 2026
First Posted
July 29, 2026
Study Start
August 1, 2026
Primary Completion (Estimated)
July 1, 2028
Study Completion (Estimated)
August 31, 2028
Last Updated
July 29, 2026
Record last verified: 2026-07
Data Sharing
- IPD Sharing
- Will not share